Journal of Regional Section of Serbian Medical Association in Zajecar

Year 2015     Vol 40     No 1
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      UDK 617.73:616.13
COBISS.SR-ID 214709516

ISSN 0350-2899, 40(2015) br. 1, p.28-31

Case report

Bilateral persistent hyaloid artery in the adult patient
Bilateralna perzistentna hialoidna arterija u odraslog pacijenta

Marija Trenkić Božinović, Saša Novak, Marija Radenković, Aleksandar Veselinović
Klinika za očne bolesti, Klinički centar Niš, Srbija


  Download in pdf format   Summary:
Introduction: Hyaloid artery occurs in the third week of gestation and reaches the lens in the fourth or fifth week of gestation to form the tunica vasculosa lentis. Atrophy of the hyaloid artery usually ends before birth. The existence of the hyaloid artery with the active blood flow is rare, especially if bilateral. There are several reports about vitreous hemorrhages (spontaneous and traumatic) and tractional retinal detachments that are associated with persistent hyaloid artery. Patient and Methods: A male patient, aging 25, reported to an ophthalmologist because of subjective complaints of visual impairment. Visual acuity in both eyes was 1.0 determined by Snellen, intraocular pressure of 12 mmHg. Refractometry showed ROD + 1.50 diopters / +0.25 Dcyl (103 °), ROS +1.50 diopters / + 0.50 Dcyl (38 °). The biomicroscopy study showed the opalescence in the space of the vitreous body behind a transparent lens on both eyes. Fundus examination showed that both optic nerves were large and with a large central coloboma. It was observed as a. hyaloidea persistens, which comes from the optic disc, surrounded by primary vitreous and at the front end visible as opaque vitreous body behind the clear lens. B-scan confirmed the echogenic visible linear structure, medium to higher reflectivity, in the back of the vitreous body, which starts with the optic nerve head and extends towards the lens (a. hyaloidea persistens). In addition, fluorescein angiography was performed, which showed a slow and sustained filling of the narrow persistent hyaloid artery. Computerized perimetry showed enlargement of the blind spots on both sides. Optical coherence tomography of the optic nerve of both eyes showed a tubular structure on the optic nerve with hiporeflectivity interior. Conclusion: Persistent hyaloid artery must be considered as a possible etiologic factor for bleeding in the vitreous body, particularly in healthy young men. Its presence can warn us of possible complications during cataract surgery and other surgical procedures. Ultrasound provides essential information when making a diagnosis, in view to determine the presence of lesion, its provision and the involvement of the retina and optic disc head. The review should include the fluorescein angiography and optical coherence tomography.
Keywords: persistent hyaloid artery, coloboma, optic nerve head, OCT, ultrasound

Napomena: kompletan tekst rada na srpskom jeziku
Note: full text in Serbian
      Corresponding Address:
Marija Trenkić Božinović,
Klinika za očne bolesti, Klinički centar Niš,
Dr Zorana Đinđića 48, 18000 Niš, Srbija;
Paper received: 3.9.2014
Paper accepted: 7.10.2014
Paper Internet issues: 20.6.2014
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Timočki medicinski glasnik, Zdravstveni centar Zaječar
Journal of Regional section of Serbian medical association in Zajecar
Rasadnička bb, 19000 Zaječar, Srbija

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